Caitlin Gaughan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011474 Issued in IL

Practice address

102 N Heinlein Dr
Shelbyville, IL 62565-9050

Phone

(217) 774-4422

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, PC

  dba Cataract and Laser Institute Greenwood

  • Ophthalmology Physician
  • Greenwood, IN
  • NPI 1467133900

  Optometrist

  NPD
• Midwest Eye Consultants, PC

  dba Cataract and Laser FW - Wayne

  • Optometrist
  • Fort Wayne, IN
  • NPI 1548132715
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #35

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)
• Midwest Eye Consultants, PC

  dba Cataract and Laser Institute Plainfield Stout

  • Optometrist
  • Plainfield, IN
  • NPI 1609621580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1437757473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N HEINLEIN DR",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659050",
            "telephone_number": "217-774-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N HEINLEIN DR",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659050",
            "telephone_number": "217-774-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2442 N Route 121",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625269461",
            "country_code": "US",
            "telephone_number": "217-233-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "CAITLIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jean Edwards, PTA
• Eye Care Associates of Il PLLC
• Dennis Fisher
• Colleena Lee Fox, LMT
• Justin Ward Freeman, M.A., LCPC
• Joanne I Gavin, COTA
• Amy Nicole Gill, RPH
• Abby Rose Goeckner
• Bradi Gordon
• Lisa Michelle Graham

• Optometrist in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.